| 王丽娟杜丽君张玉娇吴桃罗菲菲.早期光疗对早产儿黄疸的影响[J].,2014,14(2):340-342 |
| 早期光疗对早产儿黄疸的影响 |
| Effect of Early Phototherapy on Premature Infant' Jaundice |
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| DOI： |
| 中文关键词: 早产儿 黄疸 光化学疗法 新生儿胆红素脑病 |
| 英文关键词: Premature infant Jaundice Photodynamic therapy Bilirubin encephalopathy |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：探讨在经皮胆红素监测下早期蓝光干预对早产儿高胆红素血症的防治作用。方法：选择2009 年10 月-2011 年10 月
我院新生儿科收治的86 例出生体重≤ 2000 g，无出生窒息史的早产儿，按住院号单双号分为观察组46 例和对照组40例。对照组
按照我国2000 年制定的新生儿黄疸干预推荐方案的干预标准进行光疗。观察组于出现黄疸和/ 或经皮胆红素>85.50 μmol/L，但
尚未达方案的干预标准就进行光疗，监测经皮胆红素至黄疸消失。经皮胆红素值达187.5 μmol/L以上时同时查静脉血监测血清
总胆红素。比较2 组早产儿经皮胆红素峰值及恢复正常时间。结果：观察组与对照组比较经皮胆红素峰值较低,黄疸持续时间较
短,两组比较P 均＜0.05，有统计学差异。结论：早产儿在经皮胆红素监测下进行早期蓝光干预有利于降低早产儿胆红素峰值，缩
短黄疸持续时间，有效预防早产儿胆红素脑病。 |
| 英文摘要: |
| ABSTRACT Objective：To discuss the preventive and therapeutic effects of early blu-ray intervention on premature infant with
hyperbilirubinemia under transcutaneous bilirubin monitoring. Methods：86 cases of premature infants of birth weight below 2000 g and
no birth asphyxia received by Department of Neonatology of our hospital from October, 2009 to October, 2011 were selected and divided
into observation group (46 cases) and control group (40 cases) according to the parity of the hospitalized number. The control group was
treated with phototherapy in accordance with the intervention standard of neonatal jaundice intervention recommendation scheme which
was developed in China, 2000. When jaundice and / or percutaneous bilirubin was >85.50 μmol / L and the intervention standard of
scheme was not reached, the observation group was treated with phototherapy to monitor the transcutaneous bilirubin until the jaundice
disappeared. When the value of transcutaneous bilirubin reached over 187.5 μmol／L, vein blood was checked and serum total bilirubin
was monitored. The peak value of transcutaneous bilirubin and recovery time of preterm infants between these 2 groups was compared.
Results：Compared with the control group, percutaneous bilirubin has lower peak and jaundice duration is short in the observation group,
there were significant differences (P < 0.05). Conclusion：Early blu-ray intervention for preterm infants under transcutaneous bilirubin
monitoring can effectively decrease the peak value of preterm infant's bilirubin, shorten the duration of jaundice and prevent preterm
infant's bilirubin encephalopathy. |
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